How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | None | $162.18 | $173.78 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $309.03 Typical High $309.03 | Facility | None | $169.82 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $575.44 | Professional | None | $302.00 | $338.84 | $575.44 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $1,445.44 | Facility | None | $173.78 | $302.00 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $213.80 | Professional | None | $104.71 | $138.04 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $575.44 | Professional | None | $302.00 | $302.00 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $758.58 | Professional | None | $380.19 | $575.44 | $758.58 |
United Setting Facility Modifier None Typical Low $144.54 Median $316.23 Typical High $316.23 | Facility | None | $144.54 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $208.93 | Professional | None | $100.00 | $138.04 | $208.93 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.30 Typical High $30.90 | Professional | 55 · Aftercare only | $24.55 | $26.30 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $17.38 Typical High $20.42 | Professional | 56 · Pre-op care only | $16.22 | $17.38 | $20.42 |
Where Nebraska sits
The same service costs 2.4 times more in Hawaii than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 21st of 51
$209
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.